Description
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start **Caring. Connecting. Growing together.**
If you are located in Ohio, you will have the flexibility to work remotely* as you take on some tough challenges.
**Primary Responsibilities:**
Work collaboratively with the interdisciplinary care team, specifically external entities such as OhioRise, Care Management Entities, and Provider Practices; to ensure an integrated team approach
Engage members either over the phone or face to face (as necessary) to assist with closing gaps in care, linking to necessary services and providing education about their health
Review available member service records and relevant documentation (e. g., utilization history, functional level, stratification information, current plan of care)
Conduct member health assessment that includes bio-psychosocial, functional, and behavioral health needs
Utilize interviewing techniques and active listening to collect and retain member information and incorporating responses as they are presented to complete assessment
Identify member service needs related to health concerns
Engage member to participate in the assessment process and collaboratively develop Care Plans based on their individual needs, preferences, and objectives
Work with members to develop healthcare goals and identify potential barriers to achieving healthcare goals
Identify member support systems available and incorporate into their Care Plan
Review plan benefits and identify appropriate programs and services based on heath needs and benefits
Integrate health care and service needs into a plan or recommendation for member care and service
Collaborate with member to create solutions to overcome barriers to achieving healthcare goals
Identify relevant community resources available based on member needs
Refer members to appropriate programs and services
Facilitate member choice of preferred provider
Advocate for individuals and communities within the health and social service systems
Serve as the single point of contact for external providers assisting with member needs and care coordination
Support CCE, CMC, OhioRise, and/or CME delivering care coordination to UHC members
Access to reliable transportation that will enable you to travel to client and/or patient site within a designated area
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
Current, unrestricted RN license
3+ years clinical experience in a hospital, acute care, home health/hospice, direct care, or case management
Computer/typing proficiency to enter/retrieve data in electronic clinical records; experience with email, internet research, use of online calendars and other software applications
Ability to comply with UHG Telecommuting Policy and have a designated workspace inside the home with access to high-speed internet available
Ability to work M-F 8AM-5PM
Ability to travel locally up to 50% of the time
Reside in Ohio and be able to commute as business needs require
Access to reliable transportation
**Preferred Qualifications:**
Case management experience including Certification in Case Management
Experience working with the needs of vulnerable populations who have chronic or complex bio-psychosocial needs
Experience in Home & Community based or Long-Term Care services delivery
Knowledge of behavioral health services
Home care/field-based case management
Knowledge of basic Microsoft office Excel, Word, PowerPoint, etc.
Proven ability to work well under pressure in a fast-paced environment
Proven excellent verbal and written communication skills; ability to speak clearly and concisely, conveying information in a manner that others can understand, as well as ability to understand and interpret information from others
Bilingual skills
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
-At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.-
-Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.-
-UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.-
Compensation Information:
$0.0 / - $0.0 /
Starting At: 0.0
Up To: 0.0
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